Trial Outcomes & Findings for Impact of Valganciclovir on Severe IRIS-Kaposi Sarcoma Mortality: an Open-label, Parallel, Randomized Controlled-trial. (NCT NCT03296553)

NCT ID: NCT03296553

Last Updated: 2022-01-27

Results Overview

We measured the number of patients who died of IRIS-KS following the definition of IRIS-KS that is specified in the protocol.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

48 weeks

Results posted on

2022-01-27

Participant Flow

Participant milestones

Participant milestones
Measure
Valganciclovir
Oral Valgancyclovir 900 mg twice in a day during 4 weeks prior to initiation of cART (combined antirretroviral therapy) until suppression of HHV-8. Valganciclovir: The experimental group will receive Valganciclovir 900 mg twice in a day before the initiation of cART until viral load of HHV-8 is undetectable. 20 experimental included 2 eliminated 18 patients included finally.
Antiretroviral Combinations
Standard treatment with cART according to current HIV Therapy Mexican guidelines. Antiretroviral Combinations: Patients will receive standard antiretroviral treatment as recommended 20 control patients included 1 eliminated 19 patients included finally
Overall Study
STARTED
20
20
Overall Study
COMPLETED
18
19
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Valganciclovir
Oral Valgancyclovir 900 mg twice in a day during 4 weeks prior to initiation of cART (combined antirretroviral therapy) until suppression of HHV-8. Valganciclovir: The experimental group will receive Valganciclovir 900 mg twice in a day before the initiation of cART until viral load of HHV-8 is undetectable. 20 experimental included 2 eliminated 18 patients included finally.
Antiretroviral Combinations
Standard treatment with cART according to current HIV Therapy Mexican guidelines. Antiretroviral Combinations: Patients will receive standard antiretroviral treatment as recommended 20 control patients included 1 eliminated 19 patients included finally
Overall Study
Withdrawal by Subject
1
1
Overall Study
Death
1
0

Baseline Characteristics

Impact of Valganciclovir on Severe IRIS-Kaposi Sarcoma Mortality: an Open-label, Parallel, Randomized Controlled-trial.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Valganciclovir
n=20 Participants
Patients in this group received oral Valgancyclovir 900 mg twice in a day during 4 weeks prior to initiation of cART (combined antiretroviral therapy) until suppression of HHV-8 viral load.
Combined Antiretroviral Treatment
n=20 Participants
Patients in this group started standard treatment with cART (combined antiretrovrial therapy) according to current HIV Therapy Mexican guidelines.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
31 years
n=39 Participants
31 years
n=41 Participants
31 years
n=35 Participants
Sex: Female, Male
Female
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Sex: Female, Male
Male
20 Participants
n=39 Participants
20 Participants
n=41 Participants
40 Participants
n=35 Participants
Race (NIH/OMB)
American Indian or Alaska Native
20 Participants
n=39 Participants
20 Participants
n=41 Participants
40 Participants
n=35 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
White
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Patients assigned to each study group
20 Participants
n=39 Participants
20 Participants
n=41 Participants
40 Participants
n=35 Participants

PRIMARY outcome

Timeframe: 48 weeks

We measured the number of patients who died of IRIS-KS following the definition of IRIS-KS that is specified in the protocol.

Outcome measures

Outcome measures
Measure
Valganciclovir
n=20 Participants
Oral Valgancyclovir 900 mg twice in a day during 4 weeks prior to initiation of cART (combined antirretroviral therapy) until suppression of HHV-8. Valganciclovir: The experimental group will receive Valganciclovir 900 mg twice in a day before the initiation of cART until viral load of HHV-8 is undetectable. 20 experimental included 2 eliminated 18 patients included finally.
Antiretroviral Combinations
n=20 Participants
Standard treatment with cART according to current HIV Therapy Mexican guidelines. Antiretroviral Combinations: Patients will receive standard antiretroviral treatment as recommended 20 control patients included 1 eliminated 19 patients included finally
Number of Participants Who Died of Immune Reconstitution Inflammatory Syndrome Associated to Kaposi Sarcoma (IRIS-KS)
0 Participants
3 Participants

Adverse Events

Valganciclovir

Serious events: 0 serious events
Other events: 2 other events
Deaths: 3 deaths

Antiretroviral Combinations

Serious events: 0 serious events
Other events: 1 other events
Deaths: 3 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Valganciclovir
n=18 participants at risk
Oral Valgancyclovir 900 mg twice in a day during 4 weeks prior to initiation of cART (combined antirretroviral therapy) until suppression of HHV-8. Valganciclovir: The experimental group will receive Valganciclovir 900 mg twice in a day before the initiation of cART until viral load of HHV-8 is undetectable. 20 experimental included 2 eliminated 18 patients included finally.
Antiretroviral Combinations
n=19 participants at risk
Standard treatment with cART according to current HIV Therapy Mexican guidelines. Antiretroviral Combinations: Patients will receive standard antiretroviral treatment as recommended 20 control patients included 1 eliminated 19 patients included finally
Blood and lymphatic system disorders
Neutropenia <500 cell
11.1%
2/18 • Number of events 3 • 48 weeks
5.3%
1/19 • Number of events 2 • 48 weeks

Additional Information

Dr. Patricia Volkow

Instituto Nacional de Cancerología

Phone: 01 55 5628 0400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place